Provider Demographics
NPI:1578825923
Name:ACCEPTANCE COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:ACCEPTANCE COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE & FAMILY THERAPIS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:VANNAUKER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:909-635-8077
Mailing Address - Street 1:PO BOX 8353
Mailing Address - Street 2:
Mailing Address - City:ALTA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-0353
Mailing Address - Country:US
Mailing Address - Phone:909-635-8077
Mailing Address - Fax:909-694-0468
Practice Address - Street 1:1538 HOWARD ACCESS RD
Practice Address - Street 2:SUITE B
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2571
Practice Address - Country:US
Practice Address - Phone:909-635-8077
Practice Address - Fax:909-694-0468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 44622251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health